Screening in pediatric practice

Abstract

An accompanying table summarizes the recommendations for pediatric screening made in this article. The reader is urged to refer to specific sections for discussion of the recommendations. Translating any set of recommendations into a rational program requires local modification dependent on the population screened, on the resources for diagnosis and treatment within the community, and on the consumer's evaluation of the desirability and acceptability of detecting any specific condition. Serious, remediable disease may be worth detecting despite low prevalence and great cost; mild disorders may be so simple to screen that even a non specific test seems worthwhile. Whatever screening methods are chosen, the providers of health care are responsible for arranging for definitive diagnostic studies on suspect cases, and providing for remediation when possible. Screening without followup is of no value to the patient.